DR. KENNETH MACLEOD RICE M.D.
NPI 1831148063
Emergency Medicine in Cumming, GA

Q: What is Kenneth Rice's NPI number?

The NPI number for Kenneth Rice is 1831148063. It was assigned to this individual provider in the NPPES registry on May 6, 2006.

Q: What is Kenneth Rice's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Q: When was this NPI record last updated?

The NPPES record for Kenneth Rice was last updated on May 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since May 06, 2006PECOS EnrolledAccepts Medicare Assignment

89.89/100

CMS Quality Rating

2021 MARKET PLACE BLVD, PRIME CARE URGENT CARE, CUMMING, GA 30041(770) 292-9982(470) 297-3347 Get Directions Write a Review

NPPES record last updated: May 26, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 26, 2026, May 5, 2026, Apr 9, 2025 and 1 more (4 updates tracked since 2025).

On this page

About Dr. Kenneth Macleod Rice M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. KENNETH MACLEOD RICE M.D. (NPI 1831148063) is an individual emergency medicine provider in Cumming, Georgia, licensed in Georgia (047251) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of Eastern Virginia Medical School (1994).

NPPES Registry Identity

NPI1831148063

Entity TypeIndividualMale

Primary Taxonomy207P00000X

Provider Legal NameDR. KENNETH MACLEOD RICECredential: M.D.

Location Address2021 MARKET PLACE BLVD, PRIME CARE URGENT CARECumming, GA 30041-7931

Mailing Address2021 Market Place BlvdCumming, GA 30041-7931 · (770) 292-9982 · Fax (470) 297-3347

Phone(770) 292-9982

Fax(470) 297-3347

Sole ProprietorYes

Medical School CMSEastern Virginia Medical SchoolGraduated 1994

Enumeration DateMay 6, 2006

Last NPPES UpdateMay 26, 20264 updates tracked since enumeration

NPPES CertifiedMay 26, 2026

✔ NPI 1831148063 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207P00000X

Licenses✔ Licensed in GA · 047251✔ Licensed in TN · 71578✔ Licensed in ID · 7171640✔ Licensed in CO · CDR.0004665✔ Licensed in VA · 0101285108✔ Licensed in AR · E-17329✔ Licensed in IL · 36.167007✔ Licensed in AZ · 25321✔ Licensed in LA · 344661✔ Licensed in WA · 61577574✔ Licensed in OK · 43702✔ Licensed in TX · U6648✔ Licensed in AL · 47284✔ Licensed in CA · C198981✔ Licensed in FL · ME171837

Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

2021 MARKET PLACE BLVD, Cumming, GA 30041

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Secondary Practice Locations 3

Location 11300 Park St Ste 5Commerce, TX 75428-2647 · Phone (830) 400-7037

Location 22 N Central Ave Ste 1800Phoenix, AZ 85004-2139 · Phone (323) 310-4183

Location 3600 W 6th St Ste 455Fort Worth, TX 76102-3684 · Phone (682) 428-7718

Other Identifiers 4

Other25321AZ · Arizona Medical License

MedicaidG47251SC

OtherU6648TX · Texas Medical License

Medicaid000823292HSC

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Blue Cross and Blue Shield of Texas.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Kenneth Macleod Rice M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID547251126

PECOS Enrollment IDI20080520000099, I20241226001129, I20250114003161, I20250115001786, I20250305002817, I20250325004127

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 14

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Remote therapeutic monitoring treatment management services by physician or other qualified health care professional, first 20 minutes per calendar month 98980

Remote therapeutic monitoring treatment management services involve a healthcare professional monitoring your health data remotely. This could include vital signs or other health information. The professional will manage your treatment for the first 20 minutes each month, adjusting as necessary based on the data received.

2,303 services503 patients

Device supply with scheduled recording and transmission for remote monitoring of musculoskeletal system, per 30 days 98977

This service involves providing a device that records and transmits data about your musculoskeletal system remotely. For 30 days, it tracks your body's musculoskeletal health, allowing for timely interventions if needed. It's a non-invasive way to monitor your health continuously.

1,783 services437 patients

Remote therapeutic monitoring treatment management services by physician or other qualified health care professional, each additional 20 minutes per calendar month 98981

Remote therapeutic monitoring treatment management services involve a healthcare professional monitoring your health remotely. They evaluate data from medical devices, adjust your treatment plan if necessary, and communicate with you about your health. This service is for an additional 20 minutes per month.

1,054 services422 patients

Device supply with scheduled recording and transmission for remote monitoring of respiratory system, per 30 days 98976

This service involves providing a device that records and transmits data about your respiratory system. It helps in remote monitoring of your breathing patterns for a period of 30 days. This method aids in early detection of any potential respiratory issues.

514 services168 patients

Telephone medical discussion with physician, 21-30 minutes 99443

This service involves a 21-30 minute phone conversation with a physician. It's a chance for you to discuss your health concerns, symptoms or treatment plans. It's similar to an in-person consultation, but conducted over the phone for your convenience and safety.

497 services357 patients

Set-up and patient education for remote monitoring of therapy 98975

Remote therapy monitoring involves using digital devices to track your health and treatment progress from home. You'll receive a device to record health data, like heart rate or blood sugar. This data is shared with your healthcare team, allowing them to adjust your treatment as needed.

372 services341 patients

Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit G0438

An annual wellness visit is a yearly appointment with your doctor to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's an opportunity to discuss your health status and goals and get a plan tailored for you.

168 services168 patients

Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490

Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.

88 services30 patients

Annual depression screening, 5 to 15 minutes G0444

An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.

79 services79 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

67 services67 patients

Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month 99439

Chronic Care Management services involve regular check-ins with healthcare professionals to manage two or more chronic conditions. It includes an additional 20 minutes of clinical staff time per month, directed by a healthcare professional, to ensure optimal health management.

63 services27 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

23 services23 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

16 services16 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

15 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30041 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$88.06 typical visit price

range $56.84 – $172.43

Typical copayment $22.01 (range $14.21 – $43.10)

Most-billed visit code 99203

Established Patient

$100.20 typical visit price

range $18.22 – $140.40

Typical copayment $25.05 (range $4.55 – $35.10)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

89.89/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

79.78

Promoting Interoperability

100

Improvement Activities

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RANDI ADAMS FNP-C

Nurse Practitioner

2021 MARKET PLACE BLVD
CUMMING, GA 30041

Forsyth County (678) 802-8665

PRIMECARE MEDICAL CENTER OF CUMMING LLC

Clinic/Center (Urgent Care)

2021 MARKET PLACE BLVD, CUMMING TOWN CENTER
CUMMING, GA 30041

Forsyth County (770) 292-9982

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kenneth Rice's NPI number?

The NPI number for Kenneth Rice is 1831148063. It was assigned to this individual provider in the NPPES registry on May 6, 2006.

Where is Kenneth Rice located?

Kenneth Rice practices at 2021 Market Place Blvd Prime Care Urgent Care, Cumming, GA 30041. The listed phone number is (770) 292-9982.

What is Kenneth Rice's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Kenneth Rice enrolled in Medicare?

Yes. Kenneth Rice is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Kenneth Rice accept?

Health plans from Alliant Health Plans, Inc. and Blue Cross and Blue Shield of Texas list Kenneth Rice as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kenneth Rice was last updated on May 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.